Provider Demographics
NPI:1598740755
Name:CHRISTIAN LIVING NEIGHBORHOODS
Entity Type:Organization
Organization Name:CHRISTIAN LIVING NEIGHBORHOODS
Other - Org Name:CHRISTIAN LIVING COMMUNITIES THE SUITES AT CLERMONT PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LEAD BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:B
Authorized Official - Last Name:DENBRABER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-974-3900
Mailing Address - Street 1:9570 S KINGSTON CT STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6004
Mailing Address - Country:US
Mailing Address - Phone:720-974-3900
Mailing Address - Fax:720-974-3593
Practice Address - Street 1:2480 S CLERMONT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6512
Practice Address - Country:US
Practice Address - Phone:303-758-4528
Practice Address - Fax:303-758-1787
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRISTIAN LIVING COMMUNITIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-12-09
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0272310400000X
CO0359314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO23409231Medicaid
CO065344Medicare Oscar/Certification